There is a general assumption that if only we could make the cells of our bodies live forever, then so would we. Only cancerous cells are known to divide indefinitely, but groups of such cells do not form structures that are architecturally as sophisticated as the organs ordinarily found in the body. The architecture of the organs is important to the processes these organs perform. So is the behaviour of cells forming these structures. Some cells exhibit quite innocent behaviours that mean that even if cells were immortal, the innate mortality of the organism cannot be avoided.
I am thinking particularly of the lungs.
Even though the lungs are enclosed within the thorax, they are on the front line when it comes to intimate contact with the outside world. We cough out dust, but not all of it. Although they have what might be described as ‘dust-catching’ mechanisms, it is impossible for all dust to be out. It is inevitable that some dust particles will enter deep into the airways.
(Indeed, I remember a cadaver that we were dissecting many years ago. It must have been that of a South Wales miner who, judging from his age, may well have been down the pit in the 1960s or 1970s. His lungs were of the purest, shiniest black that one could imagine. It was as if they had been sculpted from a block of pure anthracite, except that they were soft (even allowing for the embalming process).
The lungs have a mechanism for dealing with those particles that are not coughed out or caught. This mechanism is to wrap them up and form a fibrous barrier around them. Sometimes these packages may even be seen on a chest radiograph – especially if they calcify.
This mechanism has a downside. The process of fibrosis leads to a local reduction in the elasticity of the lungs. This, in turn, makes it more difficult for other particles to be removed and fibrosis progresses. It is conceivable that if we lived long enough, eventually the whole lung would become fibrosed. Certainly, breathing would become increasingly less efficient. If living forever were merely a matter of cells becoming immortal, this (normal) behaviour of lung cells would eventually lead to them becoming unable to sustain life. To prolong life, a lung transplant would be necessary.
The following illustration may add further insight.
From: Roberts, F., & MacDuff, (Eds.). (2018). Pathology Illustrated (8th ed.). Edinburgh. Elsevier.